Active NPI
John Palmer Brittan II, D.M.D.
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1205904158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D5302
- Practice address
- 500 NE Multnomah St
Suite 150
Portland, OR 97232-2023 - Phone
- (503) 813-4940
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D5302 | OR | Primary |
Addresses
Primary practice location
500 NE Multnomah St
Suite 150
Portland, OR 97232-2023
Mailing address
500 NE Multnomah St
Suite 150
Portland, OR 97232-2023
Phone (503) 813-4940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D5302 | Other | OR | STATE DENTAL LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110718000448 | OR | Order and Referring Only - Oral Surgery | 5799953766 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205904158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST",
"address_2": "SUITE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322023",
"telephone_number": "503-813-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST",
"address_2": "SUITE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322023",
"telephone_number": "503-813-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITTAN",
"first_name": "JOHN",
"middle_name": "PALMER",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D5302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE #",
"identifier": "D5302",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
- John Thomas Bristol, CADC-I, CRM
- Kelly Bristol, RN
- Angela Bristow
- Daniel Joseph Bristow, M.D.
- Tyler William Bristow, BA
- Brittany C. Tilton, LCSW, P.C.
- Brittany Russ' Clinical Social Work and Therapy Services LLC
- Brittany Russ' Clinical Social Work and Therapy Services LLC
- Annette Rachel Britton, CADC 1
- Beth Ann Britton, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.